| Stay The Course Counseling Llc | |
|
718 Central Ave Sw Albuquerque NM 87102-3008 | |
| (505) 453-4304 | |
| Not Available |
| Full Name | Stay The Course Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 718 Central Ave Sw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Andrea Taylor (OWNER/LPCC) |
| Authorized Official Contact | 5054534304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stay The Course Counseling Llc 1318 Douglas Macarthur Rd Nw Albuquerque NM 87107-3327 Ph: (505) 453-4304 | Stay The Course Counseling Llc 718 Central Ave Sw Albuquerque NM 87102-3008 Ph: (505) 453-4304 |
| NPI Number | 1740037985 |
|---|---|
| Provider Enumeration Date | 05/06/2024 |
| Last Update Date | 08/14/2024 |
| Certification Date | 08/14/2024 |
| Medicare PECOS PAC ID | 6204375694 |
|---|---|
| Medicare Enrollment ID | O20240829001499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740037985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Andrea Brooke Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558996751 PECOS PAC ID: 8921547316 Enrollment ID: I20240829001845 |
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